Region 15 Regional Healthcare Partnership 48TH Public Meeting Wednesday, september 27, 2017 University Medical Center of El Paso Anchor Hospital Medical center of the americas – conference room

Confirmation of Participants University Medical Center of El Paso Texas Tech University Health Sciences Center at El Paso El Paso Children’s Hospital Hospitals of Providence (Tenet) Las Palmas – Del Sol Hospital (HCA) El Paso Health Department Emergence Health Network El Paso Medical Society Visitors? Roll Call

Approval of last meetings minutes. Approval of minutes Approval of last meetings minutes.

Umcelpaso.org

FEEDBACK/comments DSRIP Program Manager Oscar Perez Go to your Browser or Cell Phone: http://pollev.com/oscarperez394 OR To: 22333 Text: OSCARPEREZ394

1115 Waiver Program Manager ANCHOR UPDATES 1115 Waiver Program Manager Oscar Perez Active Users Updates Webinar – Oct Reporting Category 3 Workbook Templates Waiver Renewal Updates Timeline DY6 Reporting

ANCHOR UPDATES Active Users Updates (Reporting entities only) DUE Today (if you still have not responded) Send Changes to Anchor October Reporting WEBINAR Tentative: Wednesday, October 4, 2017 at 9:00am – 11:00am Will send connection information as it becomes available Category 3 Summary Workbook Now available on DSRIP Online Reporting – Bulletin Board Changes were due September 22nd directly to HHSC ALL UPDATES TO TEMPLATES WILL BE ON REPORTING SITE ONLY Bulletin Board RHP 15 will post on website ANCHOR UPDATES

ANCHOR UPDATES Waiver Renewal - Extension Negotiations still ongoing with CMS HHSC working on contingencies: (if CMS does not approve protocols by September 30, 2017) RHP Plan submission moved to April 30, 2018 Will NOT be able to submit (and be paid) DY7 baselines in April ONLY monies available in April will be 20% for Plan + any carry forwards from DY6 Nothing firm yet – HHSC will let us know by October on any changes DSRIP DY7-8 Policy Have completed all public input requirements Rules to be effective December 01, 2017 ANCHOR UPDATES

TIMELINE ANCHOR UPDATES October 31, 2017 September 27, 2017 DY6 Reporting due to HHSC December 31, 2017 End of new baseline period (DY7)* Depend on data availability January 31, 2018 NEW RHP Plan due* May move to April 30, 2018 September 27, 2017 Active Users updates DUE September 30, 2017 End of DY6 October 01, 2017 DY7 starts ANCHOR UPDATES

DY6 Reporting Elements QPI (M1) MLIU QPI (M2) SUSTAINABILITY PLANS (M3) CORE COMPONENTS (M4) * Accomplishments *CHALLENGES * LESSONS LEARNED * learning collaborative participation CATEGORY 3 QPI Template NEW Template + Documentation Narratives Cat 3 Template

Sustainability Reporting DY6

NEW Template PROVIDER LEVEL: Section 1: Collaboration with Medicaid Managed Care Section 2: Health Information Exchange Project Tabs NEW Template

MCOs Provider level:

APM / VBP Provider level:

Data Exchange Provider level:

Data Exchange Provider level:

PROJECT level:

PROJECT level:

PROJECT level:

PROJECT level:

DY7 REPORTING Category A – Core Activities Progress on core activities Alternative payment model arrangements Costs and savings Collaborative activities.

Category A Requirements Report to include: Core Activities Progress and updates on all activities Alternative Payment Methodology (APM) Progress toward OR implementation of APM arrangements with: Medicaid Managed Care Organizations (MCOs) Other Payors Costs and Savings Submit costs of core activities Forecasted/generated savings experienced from the activities Collaborative Activities Required to attend (each DY) Learning Collaborative (at least one) Stakeholder Forum Or other Stakeholder Meeting

CORE ACTIVITY SELECTION Access to Primary Care Services Access to Specialty Care Services Availability of Appropriate Levels of Behavioral Health Care Services Chronic Care Management Expansion of Patient Care Navigation and Transition Services Expansion or Enhancement of Oral Health Services Maternal and Infant Health Care Palliative Care Patient Centered Medical Home Prevention and Wellness Substance Use Disorder

CORE ACTIVITY SELECTION

REGIONAL LEARNING COLLABORATIVES UPDATEs DIABETES LEARNING COLLABORATIVE Chair: Moses Priego – UMC mpriego@umcelpaso.org BEHAVIORAL HEALTH LEARNING COLLABORATIVE Chair: Cindy Hernandez – EHN chernandez@ehnelpaso.org HEALTH DATA EXCHANGE COLLABORATIVE Chair: Rosie Sanchez – TTUHSC rosie.sanchez@ttuhsc.edu REGIONAL LEARNING COLLABORATIVES

ROUNDTABLE ROUNDTABLE

Contact Information NEW Waiver Website: https://hhs.texas.gov/lawsregulations/policiesandrules/Medicaid1115waiver Waiver E-Mail: TXHealthcare Transformation@hhsc.state.tx.us UMC RHP15 Website: http://www.umcelpaso.org Region 15 - RHP

Medical Center of the Americas (MCA) (Cardwell Collaborative Building) Next Meeting: Oct 25, 2017 1:00pm Medical Center of the Americas (MCA) (Cardwell Collaborative Building)